# HENDERSON PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENDERSON PHARMACY LLC
- **Other names:** Henderson Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861220287
- **Legal business name:** HENDERSON PHARMACY LLC
- **Authorized official:** RANDY GLEN BALDWIN PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (402) 723-4475

## Contact information

- **Practice address:** 1060 N MAIN ST, HENDERSON, NE 68371-9798
- **Practice address phone:** (402) 723-4475
- **Practice address fax:** (402) 723-4476
- **Mailing address:** PO BOX 711, HENDERSON, NE 68371-0711
- **Mailing address phone:** (402) 723-4475
- **Mailing address fax:** (402) 723-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 10/10/2024